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Re: Medinfo 2010.. Re: clinically useful set of archetypes for a connect


Hi Tony,

I have added two potential use cases 
http://www.openehr.org/wiki/display/resources/Connect-a-thon+Details

now I need clinicians to tell the rest of us is this a doable situation.
Can we do these two with the 15-20 archetypes that were discussed below?

If not, what needs to change?

I also need feedback on the other items on that page.

Also, please start making commitments to participate.
http://www.openehr.org/wiki/display/resources/Connect-a-thon
+Participants 

If we do not have systems signed up and committed to participate then we
are wasting our time in planning the event.

Cheers,
Tim



On Fri, 2009-08-21 at 10:22 +0100, Tony Shannon wrote:
> Thanks Tim,
> 
> In reply..
> I am a believer in keeping things simple where possible.
> My sense is that we can demostrate an impressive solution if we offer
> support around a single/few patient journey(s) and a limited set of
> archetypes.
> 
> Let me play devils advocate and suggest all we need to address for the
> majority of this is just 2 overlapping groups of archetypes.
> 1) The Emergency Summary set (Top10) that Heather has been polling for
> 2) The SOAP note set
> Note that these have significant overlap.
> 
> That journey could begin in any/many ways..
> eg
> 1)
> Newborn .. with a SOAP note
> > http://74.125.77.132/search?q=cache:YO6tdfa2xXgJ:faculty.washington.edu/alexbert/MEDEX/Spring/MCHNewBornsoapnote.doc+soap+note+newborns&cd=5&hl=en&ct=clnk&gl=uk
> Home with a Summary note
> 2)
> To the Primary Care doc.. with a new SOAP note
> At end of visit.. an updated Summary
> 3)
> To the ED/other Unit.. where we access the Summary
> Then we add a new SOAP note
> Then we update the Summary
> 4)..into old age..
> When a Long Term condition requires more SOAP notes
> and updates to the Summary
> and so on and so on..
> OK a very simplistic example, but I hope it illustrates a point.
> If some think that its too broad then we could use a subset of that
> journey..again only needing with SOAP and Summary.
> 
> 
> The top 10 Summary drive has already begin the process of now starting
> to explore  15/20 key archetypes, all of which selected can and will
> provide the basis for the SOAP note too.
> 
> One point your question does raise is whether we are aiming for
> archetypes that have more breadth or depth, or a mix in between.
> I would be looking for the Medinfo demo set to provide *just enough*
> (and no more than that) detail to get the demo across.
> 
> I would not expect us to have finalised the definitive archetypes for
> Summary/SOAP by then. There will be never be "final" versions of any 
> of
> these anwway..always works in progress.
> 
> Hope these ideas help..
> 
> Tony
> 
> Tim Cook wrote:
> > On Mon, 2009-08-17 at 17:46 +0100, Tony Shannon wrote:
> >> Thanks Tim & co for moving on this.
> >>
> >> Tim
> >> You kindly offered to help organise this, please let me know if I 
> >> can
> >> help in any way.
> >
> > Tony,
> >
> > I think that you will be key in leading the charge to be sure that 
> > we
> > have the correct archetypes in place.  Maybe even if they haven't 
> > all
> > passed review by then????
> >
> > We at least need to have a MedInfo2010 Set defined. Probably no 
> > later
> > than 1 December. So we have the list prior to everyone going on the
> > holiday break.  This will provide time for the various application
> > developers to do template building and testing.  Maybe enough time 
> > for
> > CKM/ARB certification as well?
> >
> > But of course this means that we also need to define the number of 
> > use
> > cases and number of patients we will be demoing.
> >
> > Comments please........
> >
> > --Tim
> >
> >
> >
> >
> 
> --
> Dr. Tony Shannon
> Consultant in Emergency Medicine, Leeds Teaching Hospitals
> Clinical Lead, Clinical Content Service, NHS Connecting for Health
> Chair, Clinical Review Board, openEHR Foundation
> +44.789.988 5068            tony.shannon@nhs.net
> 
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-- 
Timothy Cook, MSc
Health Informatics Research & Development Services
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